FORM 1023-EZ for LC CREW INC

Field Data
EIN 81-2520343
Case Number EO-2016130-000055
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LC CREW INC
Organization’s Mailing Address 3974 RIDGEWATER DRIVE
City LEWISTON
State ID
ZIP 83501-7041
Accounting period End 12
Primary contact name ALAN C BAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SAMUEL CANNER
PRESIDENT
3974 RIDGEWATER DRIVE
LEWISTON ID 83501-7041

Officer/Director/Trustee Two

BENJAMIN LARSEN
VICE PRESIDENT
3974 RIDGEWATER DRIVE
LEWISTON ID 83501-7041

Officer/Director/Trustee Three

CHAD MCVICARS
SECRETARY
3974 RIDGEWATER DRIVE
LEWISTON ID 83501-7041

Officer/Director/Trustee Four

KYLE CONKLIN
TREASURER
3974 RIDGEWATER DRIVE
LEWISTON ID 83501-7041

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/2016
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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